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First Name
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Email
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Country

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Phone
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Trading Platform

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Account Type
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Leverage

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I declare that I have carefully read the entire text of the terms and conditions with which I fully understand, accept and agree.
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I acknowledge the Risk Warning and the risk involved in online trading and the possibility that I may lose all my capital and that Forex and Contracts for Difference may not be appropriate products for me, but I still wish to proceed with my application.
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